Drug intelligence / Profile preview

puxitatug samrotecan

Development stage
Phase 3
Lead developer
AstraZeneca
Modality
Small Molecules, Cytotoxic ADCs → Antibody-Drug Conjugates (ADCs) → Antibody Conjugates → Antibody-Based Therapeutics
Administration
Intravenous
01

Overview

Puxitatug samrotecan is a novel antibody-drug conjugate (ADC) developed by AstraZeneca for the treatment of advanced or metastatic solid tumors. It consists of a monoclonal antibody targeting B7-H4 (V-set domain containing T cell activation inhibitor 1, also known as VTCN1), an immunoregulatory protein highly expressed in several solid tumors but with limited expression in normal tissues. The ADC is conjugated to a topoisomerase I inhibitor payload (samrotecan, also referred to as AZ14170133), which disrupts DNA replication and induces tumor cell death upon internalization. Puxitatug samrotecan has demonstrated promising efficacy and manageable safety in phase 1/2 trials, particularly in gynecologic cancers such as endometrial and ovarian cancer, as well as breast and biliary tract cancers. The drug is administered intravenously.

Other names
Puxitatug samrotecan
02

Targets

VTCN1 (V-set domain containing T cell activation inhibitor 1)TOP1 (DNA Topoisomerase I)

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